Abstract

To the Editor: I read the recent publication on pediatric diabetes and neuropsychiatry disorder (NPD) with great interest.¹ Block et al. found that "It appears that pediatric diabetic males are affected with NPD to a greater extent than females.¹" I would like to share some ideas on this article. Indeed, the neuropsychiatric presentation and complication of diabetes is mentioned. So-called diabetes mellitus type 3, diabetes with neurological impairment, is well described.² Focusing on the present report, there are points for discussion. The first point is whether the detected NPD is the direct effect of the diabetes. Several causes of NPD in childhood can be expected. Second, there is no doubt that children with type 2 diabetes can have NPD because NPD is reported to be an important feature of this type of diabetes.³ Indeed, not only type 2 but also type 1 pediatric diabetes patients can have NPD and proper psychiatric management is required.⁴